葛根 黄芩 芍药 桔梗 本 赤茯苓 白术 甘草(炙,等分)
上 咀,每服三钱。水一盏,煎至七分,去滓温服,移时再服。
又有一妇人,泄泻不止,似痢非痢,似血非血,其色如浊酒。召余诊之,则六脉沉绝。
众医用热药及丹药服之,则发烦闷。仆先用败毒散数服加陈米煎,次又用胃风汤加粟米煎,
愈。调中汤去大黄,亦疗此证。
凡滞下病之稍久,或欲愈之时,多有咳逆及呕逆之证。然咳逆者,古人所谓哕是也。哕
者,胃寒所生,此证最危。其它病亦恶咳逆。如见此证,宜用橘皮干姜汤、半夏生姜汤、丁
香柿蒂汤。若阳证咳逆者,小柴胡汤、橘皮竹茹汤。
仆尝治一痢疾,咳逆不止,六脉沉弱。诸医用药灼艾,皆无效。仆投退阴散,两服愈。
又尝治许主薄,痢疾愈后,咳逆不止,服诸药无效。遂灸期门穴,不三壮而愈。(其穴
在第六卷十五论中)如有呕逆之证,虽经云无阴则呕,然多有胃热而呕,亦有胃寒而生,
亦有暑毒而生。如胃热而呕,宜服小柴胡汤、孙兆竹茹汤、芦根汤、官局桔梗汤、竹叶石膏
汤加生姜主之。呕而发渴者,猪苓汤。
仆尝治一痢后呕不止,六脉虚弱,此胃寒而呕。又似暑毒凝于胃脘,投《局方》香薷丸
,愈。
Ge Gen (Puerariae Radix), Huang Qin (Scutellariae Radix), Shao Yao (Paeoniae Radix), Jie Geng (Platycodonis Radix), Ben (Ligustici Rhizoma et Radix), Chi Fu Ling (Polyporus cum Pinodia), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Gan Cao (Glycyrrhizae Radix et Rhizoma Praeparata cum Melle, equal parts).
The above herbs are cut into small pieces. For each dose, take three qian. Add one sheng of water, decoct until reduced to seven-tenths, remove the dregs, and take warm. Repeat the dose after a while.
There was also a woman with incessant diarrhea, resembling dysentery but not typical dysentery, resembling bloody stool but not true blood, with the color like turbid wine. I examined her pulse and found all six pulses deep and nearly imperceptible.
Other physicians administered hot-natured medicines and alchemical pills, which caused her to develop irritability and oppression. I first administered Baidu San (Detoxification Powder) several times, decocted with aged rice, and subsequently used Weifeng Tang (Stomach Wind Decoction) decocted with millet, resulting in a cure. Tiaozhong Tang (Regulate the Middle Decoction) without Da Huang (Rhei Radix et Rhizoma) can also treat this syndrome.
In cases of Zhixia Bing (Dysentery-like diseases) that have persisted for some time or are near recovery, there are often symptoms of coughing with reverse flow of Qi (Ke Ni) and vomiting with reverse flow of Qi (Ou Ni). However, Ke Ni is what the ancients referred to as Yue (Hiccups/Belching). Yue is generated by Stomach Cold; this syndrome is most critical. Other diseases also abhor Ke Ni. If this syndrome is observed, it is appropriate to use Ju Pi Gan Jiang Tang (Tangerine Peel and Dried Ginger Decoction), Ban Xia Sheng Jiang Tang (Pinellia and Fresh Ginger Decoction), or Ding Xiang Shi Di Tang (Clove and Persimmon Calyx Decoction). If the Ke Ni is due to Yang syndromes, Xiao Chai Hu Tang (Minor Bupleurum Decoction) or Ju Pi Zhu Ru Tang (Tangerine Peel and Bamboo Shavings Decoction) should be used.
I once treated a patient with dysentery who suffered from incessant Ke Ni and weak, deep pulses. Other physicians' medications and moxibustion were ineffective. I administered Tui Yin San (Push Out Yin Powder), and two doses resulted in a cure.
I also treated Xu Zhubo, whose Ke Ni persisted after the recovery of dysentery, despite taking various medicines without effect. I then applied moxibustion to Qimen (Liv 14) acupoint, and he recovered in less than three moxa cones. (This acupoint is described in Volume 6, Discourse 15). In cases of Ou Ni (vomiting with reverse flow of Qi), although classics state "without Yin there is vomiting," many cases are caused by Stomach Heat, some by Stomach Cold, and some by Summer-Heat Toxin. If vomiting is due to Stomach Heat, it is appropriate to take Xiao Chai Hu Tang (Minor Bupleurum Decoction), Sun Zhao Zhu Ru Tang (Sun Zhao's Bamboo Shavings Decoction), Lu Gen Tang (Reed Rhizome Decoction), Guan Ju Jie Geng Tang (Official Bureau Platycodon Decoction), or Zhu Ye Shi Gao Tang (Bamboo Leaf and Gypsum Decoction) added with Fresh Ginger. If vomiting is accompanied by thirst, Zhu Ling Tang (Polyporus Decoction) should be used.
I once treated a patient with incessant vomiting following dysentery; the six pulses were weak, indicating vomiting due to Stomach Cold. It also seemed that Summer-Heat Toxin was congealed in the Epigastrium. I administered Xiang Ru Wan (Mosla Pill) from the *Ju Fang* (Official Formulary), resulting in a cure.
Treating Yue (Hiccups/Belching).
Ju Pi (Citri Reticulatae Pericarpium), Tong Cao (Tetrapanacis Medulla), Gan Jiang (Zingiberis Rhizoma Praeparatum), Gui Xin (Cinnamomi Ramulus Cortex), Gan Cao (Glycyrrhizae Radix et Rhizoma), each four qian; Ren Shen (Ginseng Radix), two qian.
The above herbs are cut into small pieces. For each dose, take four qian. Add one sheng of water, decoct until reduced to seven-tenths, remove the dregs, and take warm.